A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?
Apply an ice collar.
Encourage the child to use a straw.
Remind the child to cough and deep breathe.
Provide cherry fruit juice.
The Correct Answer is A
A. Applying an ice collar helps reduce swelling and discomfort in the throat after a tonsillectomy. Cold therapy is effective in the early postoperative period to minimize bleeding and pain.
B. Using a straw should be avoided after a tonsillectomy because it may cause trauma to the surgical site and increase the risk of bleeding.
C. Coughing and deep breathing should be avoided after a tonsillectomy as they can cause irritation or dislodge the blood clots in the surgical site, leading to bleeding.
D. Providing cherry fruit juice is not ideal, as acidic or red-colored liquids can irritate the throat and may make it difficult to monitor for post-operative bleeding.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Children with asthma are at an increased risk for respiratory infections, including pneumococcal infections. Therefore, pneumococcal immunization is recommended for children with asthma to help prevent pneumonia and other infections.
B. Salmeterol is a long-acting beta-agonist used for asthma maintenance and not for acute exacerbations. The nurse should instruct the guardian to use a quick-relief bronchodilator (e.g., albuterol) for acute symptoms.
C. When using a peak flow meter, the child should inhale as deeply as possible, but the exhalation should be long and forceful. Inhaling quickly may not give an accurate reading of lung function.
D. Physical activity and sports are important for children with asthma, as long as their asthma is well controlled. The nurse should not recommend avoiding school sports unless the child has an active exacerbation or poor asthma control.
Correct Answer is A
Explanation
A. Applying an ice collar helps reduce swelling and discomfort in the throat after a tonsillectomy. Cold therapy is effective in the early postoperative period to minimize bleeding and pain.
B. Using a straw should be avoided after a tonsillectomy because it may cause trauma to the surgical site and increase the risk of bleeding.
C. Coughing and deep breathing should be avoided after a tonsillectomy as they can cause irritation or dislodge the blood clots in the surgical site, leading to bleeding.
D. Providing cherry fruit juice is not ideal, as acidic or red-colored liquids can irritate the throat and may make it difficult to monitor for post-operative bleeding.
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